Brief Answer:
Seems like hyperparathyroidism
Detailed Answer:
Hi
Thanks for posting your query on HealthcareMagic.
It seems like hyperparathyroidism. It seems to be mild. Though there can be other causes for
osteoporosis. Also there can other causes of
hypercalcemia (high calcium levels in blood that is getting precipitated).
Hyperparathyroidism means high
parathyroid hormone levels. Parathyroid hormone is produced by
parathyroid gland. Hyperparathyroidism develops when there is hyperplasia of one or more of the four parathyroid glands.
So we need tests like serum calcium levels and serum parathyroid hormone levels. In hyperparathyroidism both the levels will be increased while in all other causes of hypercalcemia, parathyroid hormone levels will be low. Advanced tests will be done after determining the cause.
Mostly the symptoms are a combination of osteoporosis (or osteitis fibrosa cystica in bad cases), renal symptoms like polyuria, polydipsia and
nephrocalcinosis (calcium deposition in kidneys), neurological symptoms, weakness, GI symptoms like constipation, anorexia, weight loss, etc and heart symptoms. Now you do not seem to have all these symptoms. So I rather ask you to get tested with above tests and if it comes back normal than you may not worry about it.
Best treatment is surgical resection of the overactive parathyroid gland. Medical treatment includes taking
bisphosphonates and limiting calcium intake to less than 400 mg a day. Adequate amount of daily fluid intake is very important.
It will be managed by a team of doctors - family physician or internal medicine specialist to start with and then referral to
endocrinologist and surgeon as needed.
Hope it helps.
Dr Vaishalee
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